Provider Demographics
NPI: | 1124607833 |
---|---|
Name: | ALMUQTADIR INC. |
Entity type: | Organization |
Organization Name: | ALMUQTADIR INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANANGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | HASEEB |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SHAKIR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 708-307-3239 |
Mailing Address - Street 1: | PO BOX 615 |
Mailing Address - Street 2: | |
Mailing Address - City: | ORLAND PARK |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60462-0615 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 708-798-1665 |
Mailing Address - Fax: | 708-647-9734 |
Practice Address - Street 1: | 19150 S. KEDZIE STE. 100 |
Practice Address - Street 2: | |
Practice Address - City: | FLOSSMOOR |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60422 |
Practice Address - Country: | US |
Practice Address - Phone: | 708-798-1665 |
Practice Address - Fax: | 708-647-9734 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-04-08 |
Last Update Date: | 2021-04-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |